Emergency Department (ER) RN - Full Time

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members. Our Emergency Department is a

26-bed, Level I Trauma Center

We are a high-volume department serving Billings and surrounding communities, extending east into the Dakotas and south into Wyoming. Our region is supported by a dedicated air medical transport team and EMS ground crews, providing care for a diverse and complex patient population.

With a typical nurse-to-patient ratio of

4:1 , we are committed to delivering exceptional patient care while fostering a supportive and collaborative work environment. Our nurses work closely with emergency providers, ancillary departments, and specialty teams to provide the highest quality care possible. offers an exceptional quality of life. Known as Montana's Trailhead, Billings provides easy access to endless outdoor adventures including hiking, trail running, mountain biking, fishing, hunting, skiing, snowboarding, camping, rock climbing, and boating. With over 300 days of sunshine annually, residents enjoy four distinct seasons and breathtaking scenery year-round. The city combines the amenities of a regional healthcare hub with a friendly, family-oriented atmosphere, excellent schools, and a strong sense of community. Shift Details:

Full time, 36 hours/week, mid shift ()

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Emergency Department

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St Vincent Regional Hospital

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Licensed RN experience in an Emergency Department and/or high acuity setting preferred. One year of licensed RN experience required.

Performs appropriate assessment of physical, social, and psychological status (including cognitive, communicative, and developmental skills as appropriate). Seeks and evaluates information acquired from other members of interdisciplinary team: patient, family, physician, non-nursing disciplines, support staff, others.

Uses assessment information and critical thinking skills to collaboratively develop individualized plan of care. Actively seeks patient, family, team, and physician involvement to develop plan of care including needed education. Collaboratively plans and prepares patients for further support needs once the current episode of care outcomes are met (i.e., Directs the interdisciplinary care team via delegation, coordination, and collaboration as appropriate. Provides or delegates care consistent with plan of care, guidelines of care and professional licensure provisions. Demonstrates the ability to set priorities and to coordinate and organize patient care delivery through effectively managing time, supplies, and resources.

Revises plan of care as indicated and reassesses changes as appropriate.

Promotes nursing profession and participate in development of others.

Integrates legal and ethical standards into practice, complies with regulatory standards, practices within scope of licensure, provides accurate & timely documentation, and understands legal implications of care delivery.

Patient Care Delivery

Nursing Fundamentals

Patient Care Coordination

Current license to practice as a Registered Nurse in state of practice. RNs with less than 12 months of experience must obtain their Bachelor of Science in Nursing (BSN) within four (4) years of their hire date.

Basic Life Support Certification (BLS) for healthcare providers.

Bachelor's degree in nursing (BSN). Bachelor of Science in Nursing (BSN) is required as of the job description's last update on 4/27/2025. Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.

Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.

Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.

Will also bend to retrieve, lift, and carry supplies and equipment. Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.)

Intermountain Health St Vincent Regional Hospital

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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